Organization
PRO CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI PROWE D.C. (OWNER)
(856) 745-2947
Entity
Organization
Contact information
Practice address
800 JESSUP RD, SUITE 803A, WEST DEPTFORD, NJ 08086-9354
(856) 745-2947
Mailing address
800 JESSUP RD, SUITE 803A, WEST DEPTFORD, NJ 08086-9354
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00728700
NJ
Other
Enumeration date
08/07/2015
Last updated
08/07/2015
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